Course Reserve Form

Please use this form to place articles, books, audio & video materials on course reserve at Pearson Library's Circulation Desk. A copy of your course syllabus is required in order to place items on reserve. Submit your syllabus with your reserve item(s) or email your syllabus to

Items that are not in the library's collection will need to be sent to the circulation desk or via campus mail to:

Attn: Circ. Desk Reserves
Mail code 5100
60 W. Olsen Rd.
Thousand Oaks, CA 91360

Please include your name & contact info or print-out of this completed form. Required fields appear in purple.

Instructor Information
Name  (last, first middle)
Campus e-mail
Mail Code


Course Information

Course Department
Course Number
Course Name


Bibliographic Information

Title of Book or Article
Additional Information such as Journal Name, Volume, Issue number, Publication date, Pages, etc.
This is a

Personal copy Library owned copy

If Library owned, please supply the call number:

Place on reserve for the
Take off reserve on

If personal copy: I will pick up Please mail back

Reserve Loan Period

Any additional notes or comments?

Yes, I have read and will comply with the course materials policy and copyright rules and regulations. (click here to review copyright policy)